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Hospital and outpatient clinic utilization among older people in the 3-5 years following the initiation of continuing care: a longitudinal cohort study
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.ORCID iD: 0000-0002-3286-6023
Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden & Center for Primary Health Care Research, Faculty of Medicine, Lund University, Malmö, Sweden.ORCID iD: 0000-0003-3676-307X
2011 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 11, article id 136Article in journal (Refereed) Published
Abstract [en]

Background: Few studies have investigated the subsequent rate of hospital and outpatient clinic utilization in those who receive continuing care and have documented frequent usage over one year. Such knowledge may be helpful in identifying those who would benefit from preventive interventions. The aim of this study was to investigate and compare the subsequent rate of hospital and outpatient clinic utilization among older people with 0, 1, 2, 3 or more hospital stays in the first year following the initiation of continuing care. A further aim was to compare these groups regarding demographic data, health complaints, functional and cognitive ability, informal care and mortality.

Methods: A total of 1079 people, aged 65 years or older, who received a decision regarding the initiation of continuing care during the years 2001, 2002 or 2003 were investigated. Four groups were created based on whether they had 0, 1, 2 or ≥ 3 hospital stays in the first year following the initiation of continuing care and were investigated regarding the rate of hospital and outpatient clinic utilization in the subsequent 3-5 years.

Results: Fifty seven percent of the sample had no hospital stay during the first year following the initiation of continuing care, 20% had 1 stay, 10% had 2 stays and 13% had three or more hospital stays (range: 3-13). Those with ≥ 3 hospital stays in the first year continued to have the significantly highest rate of hospital and outpatient care utilization in the subsequent years. This group accounted for 57% of hospital stays in the first year, 27% in the second year and 18% in the third year. In this group the risk of having ≥ 3 hospital stays in the second year was 27% and 12% in the third year.

Conclusions: There is a clear need for interventions targeted on prevention of frequent hospital and outpatient clinic utilization among those who are high users of hospital care in the first year after the initiation of continuing care. Perhaps an increased availability of medically skilled staff in the day to day care of these people in the municipalities could prevent frequent hospital and outpatient clinic utilization, especially hospital readmissions. © 2011 Condelius et al; licensee BioMed Central Ltd.

Place, publisher, year, edition, pages
London, UK: BioMed Central, 2011. Vol. 11, article id 136
Keywords [en]
Hospital Stay, Hospital Care, Informal Care, Outpatient Care, Pressure Ulcer
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-40899DOI: 10.1186/1472-6963-11-136ISI: 000292610900001PubMedID: 21627791Scopus ID: 2-s2.0-79957660219OAI: oai:DiVA.org:hh-40899DiVA, id: diva2:1369591
Funder
Vårdal Foundation
Note

Other funders: Swedish Institute for Health Sciences. Faculty of Medicine, Lund University. Greta and Johan Kochs Foundation & Ministry of Health and Social Affairs, Sweden

Available from: 2019-11-12 Created: 2019-11-12 Last updated: 2019-11-27Bibliographically approved

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